Information Collection

National Household Food Acquisition and Purchase Survey -- Respondents

IC 200401 under ICR 201112-0536-001 · OMB 0536-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0536-0068 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
N-Adult Food Book.pdf	Other-Adult Food Booklet
J-Meals and Snacks Form.pdf	Other-Meals and Snacks Form
M-Primary Respondent Book.pdf	Other-Primary Respondent Book
O-Youth Food Book.pdf	Other-Youth Food Book
R-Respondent feedback form.pdf	Other-null
H-Initial HH Interview and hand cards.pdf	Other-Initial Household Interview
P-Telephone Script.pdf	Other-Telephone Script
K-Income Worksheet.pdf	Other-Income Worksheet
Q-Final HH Interview and hand cards.pdf	Other-Final HH Interview and hand ca

IC Title:

National Household Food Acquisition and Purchase Survey -- Respondents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Adult Food Booklet	N-Adult Food Book.pdf	No	Paper Only
Other-Meals and Snacks Form	J-Meals and Snacks Form.pdf	No	Paper Only
Other-Primary Respondent Book	M-Primary Respondent Book.pdf	No	Paper Only
Other-Youth Food Book	O-Youth Food Book.pdf	No	Paper Only
Other-null	R-Respondent feedback form.pdf	No	Paper Only
Other-Initial Household Interview	H-Initial HH Interview and hand cards.pdf	No	Paper Only
Other-Telephone Script	P-Telephone Script.pdf	No	Paper Only
Other-Income Worksheet	K-Income Worksheet.pdf	No	Paper Only
Other-Final HH Interview and hand cards	Q-Final HH Interview and hand cards.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: Food and Nutrition Assistance

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,996

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	202,230	202,230
Annual IC Time Burden (Hours)	42,569	42,569
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.